Active NPI
Vivek Mallampalli, OD
- Optometrist
- Newton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5367
- Practice address
- 33 Lincoln St
Newton, MA 02461-1526 - Phone
- (617) 332-2023
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5367 | MA | Primary |
Addresses
Primary practice location
33 Lincoln St
Newton, MA 02461-1526
Mailing address
33 Lincoln St
Newton, MA 02461-1526
Phone (617) 332-2023
Other practice location 1
27 Memorial Pkwy
Randolph, MA 02368-4539
Phone (781) 986-7400
Other practice location 2
1 Highland Ave # 3B
Malden, MA 02148-6603
Phone (781) 321-9039
Other practice location 3
615 Centre St
Jamaica Plain, MA 02130-2537
Phone (617) 983-3937
Other practice location 4
12 Eliot St
Cambridge, MA 02138-5824
Phone (617) 354-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191029002526 | MA | Practitioner - Optometry | 8820320567 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5367 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Mass Optometric Associates, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Aeg Massachusetts Professional PC | Optometrist | Current | Accepting new patients |
| David M Luria OD PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Massachusetts P C | Optometrist | Current | Accepting new patients |
| Health Vision and Beauty Inc | Optometrist | Past | Accepting new patients |
Locations
22 University Dr
Amherst, MA 01002
Phone (413) 549-9400
700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481
12 Eliot St
Cambridge, MA 02138
Phone (617) 354-3303
615 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-3937
1 Highland Ave
#3B
Malden, MA 02148
Phone (781) 321-9039
27 Memorial Pkwy
Randolph, MA 02368
Phone (617) 986-7400
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Andover, MA
- NPI 1952035040
-
- Optometrist
- Attleboro, MA
- NPI 1972059723
-
- Optometrist
- Randolph, MA
- NPI 1033768445
-
- Optometrist
- North Andover, MA
- NPI 1922971415
-
- Optometrist
- South Boston, MA
- NPI 1831511369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1629636550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LINCOLN ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611526",
"telephone_number": "617-332-2023",
"fax_number": "617-332-1218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 LINCOLN ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024611526",
"telephone_number": "617-332-2023"
}
],
"practiceLocations": [
{
"address_1": "27 Memorial Pkwy",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "MA",
"postal_code": "023684539",
"country_code": "US",
"telephone_number": "781-986-7400",
"fax_number": "781-986-5201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Highland Ave # 3B",
"address_purpose": "LOCATION",
"city": "Malden",
"state": "MA",
"postal_code": "021486603",
"country_code": "US",
"telephone_number": "781-321-9039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Centre St",
"address_purpose": "LOCATION",
"city": "Jamaica Plain",
"state": "MA",
"postal_code": "021302537",
"country_code": "US",
"telephone_number": "617-983-3937",
"fax_number": "617-983-3938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 Eliot St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021385824",
"country_code": "US",
"telephone_number": "617-354-3303",
"fax_number": "617-983-3938",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLAMPALLI",
"first_name": "VIVEK",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-05",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.